10 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... Late Budd-Chiari syndrome ... leak, Nephrotic syndrome ... #ascites #albumin ... #gradient #hepatology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... • Calculate SAAG ... total protein ... gastroenterology #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Diagnosis Table ... Cirrhosis • Portal ... • Nephrotic syndrome ... #hepatology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
sinusoid with (ie Portal ... Hypertension): ... #Hepatology #SAAG ... #Gradient #Interpretation ... #Differential #
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Portal Hypertension ... Sinusoidal obstruction syndrome ... • Budd-Chiari syndrome ... • Nephrotic syndrome ... #Hepatology #causes
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Portal hypertension ... - Budd-Chiari syndrome ... - Nephrotic syndrome ... - Protein-losing ... hepatology #SAAG
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... and hepatorenal syndrome ... • Budd Chiari syndrome ... Differential #Diagnosis ... #causes #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Diagnosis High albumin ... thrombosis (Budd-Chiari syndrome ... cirrhosis - Nephrotic syndrome ... Diagnosis #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... , albumin, protein ... culture • Serum-ascites-albumin-gradient ... /dL suggests portal ... #Summary #Hepatology
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Gap (Total Protein ... • (Total protein ... changes (POEMS syndrome ... gastric tumors • Hematology ... #diagnosis #hematology